State of Arkansas Department of Human Services, Division of Medical Services Selects U.S. Care Management for High-Risk Obstetrics Health Management Program

... JACKSONVILLE Fla. Nov. 20 /- The State of Arkansas... High-risk pregnancies and pre-term deliveries often result in poorhe...U.S. Care Management a wholly-owned subsidiary of U.S. PreventiveMed...U.S. Care ...

JACKSONVILLE, Fla., Nov. 20 /PRNewswire/ -- The State of Arkansas
Department of Human Services, Division of Medical Services has selected
U.S. Care Management (formally Specialty Disease Management) to provide
obstetrical and infant health management services to assist in improving
birth outcomes and reducing costs associated with complicated pregnancies,
pre-term births and high-risk infants among Medicaid participants in
Crittenden, Phillips and St. Francis Counties, Arkansas. The pilot program,
called BirthWait(R), began in June 2007 and will continue for two years.

"High-risk pregnancies and pre-term deliveries often result in poor
health outcomes for mother's and their infant's health, and additional
costs to the family and our communities," said Roy Jeffus, director,
Arkansas Department of Human Services, Division of Medical Services. "U.S.
Care Management's intensive obstetrical and high risk infant health
management services will contribute to efforts in Crittenden, Phillips and
St. Francis counties to potentially reduce these costs and improve health
outcomes."

U.S. Care Management, a wholly-owned subsidiary of U.S. Preventive
Medicine, will utilize its unique community-based approach to identify
persons who are likely to have a high-risk pregnancy and at-risk infants up
to one year of age. Each person in the program will be assigned a
community-based registered nurse who will provide care coordination,
assessments, extensive education and monitoring. BirthWait(R) nurses
utilize a case management database system, Casewatch(R) that includes
guidelines and indicators for high risk pregnancy as well as other chronic
conditions the mother may have including diabetes, hypertension, asthma and
others. The system offers the same capabilities for at-risk infants. Nurses
enter assessment information, develop individualized care plans, and
document and report all contacts and interventions as well as the tracking
of key indicators.

U.S. Care Management's nurses will conduct home visits and be supported
by a 24-hour, seven-days-a-week nurse phone line including in and out-bound
calls. The program will work closely with medical and community based
providers, including the Antenatal and Neonatal Guidelines, Education and
Learning System (ANGELS) at the University of Arkansas for Medical
Sciences. Obstetrical evidence-based practice guidelines prepared by ANGELS
will be used as the platform for care coordination, patient education and
support.

"We recognize that high-risk pregnancies and pre-term deliveries are
the result of multiple factors including medical, social and economic
issues," said Fred Goldstein, president and CEO of U.S. Care Management.
"We will contribute to interventions that may improve birth outcomes and
reduce costs associated with complicated pregnancies and at-risk infants by
focusing on the needs of the whole person. Our community-based program
accomplishes this through care coordination, education, monitoring and
proactively managing data to maximize early and meaningful coordination of
prenatal care, especially in those individuals with co-morbid conditions
like asthma, diabetes and hypertension that are frequently related to the
cause of high-risk pregnancies, pre-term deliveries and subsequent medical
problems in an infant's first year of life."

U.S. Care Management is based in Jacksonville, FL, and consistently
demonstrates positive quality, cost, and satisfaction outcomes in the
management of patients with complex chronic conditions. The company
contracts with government and private payers of health services and
operates in several states throughout the country.

U.S. Preventive Medicine(R), a privately owned company, is organizing
and commercializing the market for proactive preventive health services in
partnership with established hospitals and physician groups. The Company
licenses its proprietary methodology, technology and branding assets to a
health provider, which operates a local point-of-care -- The Center for
Preventive Medicine(R) -- in a geographic territory on an exclusive basis.
Individually, The Center for Preventive Medicine delivers a consistent
suite of prevention services; collectively, Centers across the country form
The U.S. Prevention Network.

U.S. Preventive Medicine and/or The Center for Preventive Medicine do
not themselves provide physician or professional services. All physician
services are provided by independent practitioners exercising independent
professional medical judgment. In addition, U.S. Preventive Medicine and/or
The Center for Preventive Medicine do not interfere with or regulate the
private physician- patient relationship. This document neither offers for
sale nor solicits offers to purchase a franchise or investment unit in a
Center for Preventive Medicine or any other security.

About U.S. Care Management:

U.S. Care Management delivers a unique client-based model of care
coordination to improve the health of persons who suffer from chronic
diseases. The company's core service, highly trained community based nurse
care managers, has been developed to maximize the benefits of care
coordination and to complement all aspects of disease management programs.
This includes a commitment to physician-directed care, utilization of
nationally recognized clinical guidelines, understanding of the social and
lifestyle determinants of health and employing supportive information
technology that drives measurable outcomes. U.S. Care Management's
field-based program has been applied to persons with asthma, diabetes,
heart failure, HIV/AIDS, COPD, high risk pregnancy, and for persons with
schizophrenia and their associated medical co-morbidities.

U.S. Care Management, formerly known as Specialty Disease Management,
was organized in 1997 by health professionals who recognized the value in
coordinating care to serve people with chronic diseases. Based in Florida
and contracted in six other states, U.S. Care Management's experience
offers numerous assets that are recognized for their unique contribution to
disease management programs.

This news release contains forward-looking statements, which may not
accurately reflect our actual results of operations. Some of the
information in this news release contains forward-looking statements within
the meaning of the federal securities laws. Forward-looking statements
typically are identified by use of terms like "may," "will," "expect,"
"anticipate," "estimate," and similar words, although some forward-looking
statements are expressed differently. The reader should be aware that our
actual results could differ materially from those contained in the
forward-looking statements due to a number of factors, including
insufficient capital resources, inability to compete effectively, adverse
economic conditions, unanticipated difficulties in product development and
inability to gain market acceptance and market share

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